Peace of Mind in the New Year and Year Roundhttp://portagehealth.org/Peace_of_Mind_in_the_New_Year_and_Year_Round/?blogid=2147483808
Consider your loved ones. We all have a parent, child, family member or friend who is special to us, and many of us worry about their health and well-being. This holiday season, consider discussing health insurance with your loved ones, and give the gift of peace of mind.

]]>2014-12-30T14:54:00ZConsider your loved ones. We all have a parent, child, family member or friend who is special to us, and many of us worry about their health and well-being. This holiday season, consider discussing health insurance with your loved ones, and give the gift of peace of mind.

Open enrollment on the Health Insurance Marketplace is underway, and you and your family can enroll in affordable health coverage that can bring the peace of mind of having access to care when you need it, and preventive services to keep you and your family healthy in 2015.

Do you know someone who needs healthcare coverage, but resists enrolling in insurance? Here are some important facts to share about why healthcare coverage is important:

No one plans to get sick or hurt, but most people need medical care at some point. Health insurance covers these costs and offers many other important benefits.

]]>FAQs about Enterovirus D68http://portagehealth.org/FAQs-about-Enterovirus-D68/?blogid=2147483808
Enterovirus D68 (EV-D68) is a type of virus that causes upper respiratory illness. EV-D68 is a non-polio enterovirus. Non-polio enteroviruses are very common viruses, causing 10 to 15 million infections in the U.S. each year, according to the Centers for Disease Control and Prevention (CDC).]]>2014-11-11T14:54:00ZHow can I learn more?If you have questions, talk to your family doctor, your pediatrician, or the hospital for information. You also can visit the CDCís website.

What is Enterovirus D68 (EV-D68)?
Enterovirus D68 (EV-D68) is a type of virus that causes upper respiratory illness. EV-D68 is a non-polio enterovirus. Non-polio enteroviruses are very common viruses, causing 10 to 15 million infections in the U.S. each year, according to the Centers for Disease Control and Prevention (CDC).

EV-D68 is not a new virus, and typically causes low-grade fever, cough, runny nose, sneezing and body/muscle aches.

Why are we hearing more about this virus now?
Many more cases of EV-D68 have been reported this season, which warrants increased attention to good preventive health and infection control practices by individuals and families. While EV-D68 complications do not occur frequently, they can be serious.

Enterovirus infections in the U.S. tend to occur seasonally during the summer and fall, and outbreaks tend to occur in several-year cycles.

Who is at risk?
Anyone can be infected with respiratory enteroviruses. Most people who get infected only experience a mild illness, such as a common cold. But infants, children and teenagers, as well as people with weakened immune systems, are more likely to get infected and become sick. Children do not have immunity from prior exposure to the viruses, so, young children and people with weakened immune systems have a greater chance of complications.

What are the signs and symptoms of illness?
EV-D68 typically causes upper respiratory illness, such as a low-grade fever, cough, runny nose, sneezing, and muscle/body aches. Some people have no symptoms at all. But other people can experience complications and become very sick, and require hospitalization.

What type of complications can occur?
Some people with underlying medical conditions, such as asthma, may experience severe complications and require hospitalization and supportive therapy. Complications can include viral conjunctivitis; hand, foot and mouth disease; viral meningitis (infection of the covering of the spinal cord and/or brain), myocarditis (infection of the heart), pericarditis (infection of the sac around the heart), encephalitis (infection of the brain), and paralysis. People who develop myocarditis may have heart failure and require long-term care. Some people who develop encephalitis or paralysis may not fully recover.

How does EV-D68 spread?
The virus spreads through close contact with an infected person such as touching or shaking hands; through body fluids including eye, nose and mouth secretions (saliva, nasal mucus, or phlegm), blister fluid, or feces; or by touching objects or surfaces that have the virus on them then touching your mouth, nose, or eyes. You also can get the virus by changing the diapers of a child who has the virus, or by drinking water that has the virus in it. The virus can also be ìshedî from the respiratory tract of persons who have been sick for 1-3 weeks. Infected people can shed the virus even if they don't have symptoms.

Is there a vaccine for EV-D68?
There is no vaccine available for EV-D68, and no antiviral medication available to treat it.

How can I avoid getting sick?
Because EV-D68 shares common symptoms and complications with colds and flu, the best protection is getting an annual flu vaccine for yourself and your loved ones.

You also can keep yourself and your family well by observing standard infection control procedures, including:

Frequent hand-washing with soap and warm water, especially after using the toilet and changing diapers.

If soap and water arenít available, use an alcohol-based hand sanitizer with a concentration of at least 60% alcohol.

Avoiding close contact with people who are sick; and cleaning/disinfecting frequently touched surfaces.

If you or a family member is sick, the infected person should stay home from school or work.

Cover coughs and sneezes by using a tissue, or your sleeve, or coughing/sneezing into your elbow (not your hands).

YOU are your best defense against viruses and other infections. Follow these simple tips to keep you and your family healthy:*

Wash your hands regularly with soap and water, for 20 seconds.

Or, use a hand sanitizer that is least 60% alcohol-based.

Avoid touching your eyes, nose and mouth.

Avoid sharing food, cups or eating utensils.

Disinfect your home and belongings, such as childrenís toys and play areas.

Stay home from school or work if you are sick.

Cover your mouth and nose when coughing or sneezing with a tissue, your sleeve or your elbow and NOT your bare hands.

Get a flu shot

Call your local hospital or your primary care doctor with any questions.

*Source: Centers for Disease Control & Prevention (CDC)

Ebola

Ebola Virus Disease is a rare and deadly disease that is native to several African countries. It is caused by infection with Ebola virus. You can only get Ebola from:

Touching the blood or body fluids of a person who is sick with or has died from Ebola.

Touching contaminated objects, like needles.

Touching infected animals, their blood or other body fluids, or their meat.

Note: You cannot get Ebola through water, the air, or food.

Community Risk & Hospital Preparedness

The threat of a widespread outbreak of Ebola in the United States is very low. The CDC and the Federal Government are taking many measures to help prevent spread of Ebola in the U.S.

Our hospital is committed to protecting the health of our community.

We follow infection control procedures as recommended by the CDC and our state health department. Routine infection control procedures that are used to prevent the spread of any viral illness also can control and manage Ebola cases and ensure the safety of other patients in the hospital.

While we do not anticipate Ebola impacting our community, out of an abundance of caution, we are taking additional safety precautions.

Enterovirus D-68

Enterovirus D-68 (EV-D68) is a type of virus that causes upper respiratory illness. EV-D68 is a non-polio enterovirus. Non-polio enteroviruses are very common viruses, causing 10 to 15 million infections in the U.S. each year, according to the Centers for Disease Control and Prevention (CDC).

]]>FAQ about Ebolahttp://portagehealth.org/FAQ-about-Ebola/?blogid=2147483808
Ebola Virus Disease (EVD), previously known as Ebola hemorrhagic fever, is a rare and deadly disease that is native to several African countries. It is caused by infection with Ebola virus, which is contracted through direct contact with a sick personís blood or body fluids, contact with contaminated objects (such as needles), or contact with infected animals.]]>2014-11-03T14:54:00ZWhat is Ebola?
Ebola Virus Disease (EVD), previously known as Ebola hemorrhagic fever, is a rare and deadly disease that is native to several African countries. It is caused by infection with Ebola virus, which is contracted through direct contact with a sick personís blood or body fluids, contact with contaminated objects (such as needles), or contact with infected animals.

Who is at risk?
Those at risk for EVD include:

People who have resided in or traveled internationally to countries where cases of EVD have been reported (West African countries of Guinea, Liberia, Sierra Leone):

People who have been in close contact with a person who is ill with EVD:

People who have handled bats, rodents or primates from areas where EVD transmission is active; and

When do symptoms appear after infection?
Symptoms can appear anywhere from 2 to 21 days after infection. The incubation period for EVD ñ the time from exposure to when signs or symptoms appear -- is usually 8-10 days, but can range from 2-21 days. The risk for transmission is greatest during the later stages of the illness. Ebola can only be transmitted when the ill person has symptoms.

Is there a vaccine for EVD?
No vaccine currently exists for EVD.

However, the Department of Health and Human Services, including the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH) and the Food and Drug Administration (FDA) are leading the effort to develop and test vaccines and new treatments. Some investigational vaccines have been developed. The NIH recently announced that initial human testing of an investigational vaccine to treat Ebola would begin in September, and a vaccine developed through the U.S. Department of Defense also will start testing in humans later this year.

How is EVD treated?
EVD symptoms are treated with supportive care, including providing intravenous fluids and balancing electrolytes, maintaining oxygen status and blood pressure, and treating other infections that may occur.

What are the potential complications of EVD infection?
Data gathered on patients who have recovered from EVD show long-term complications ranging from joint and muscle pain to vision problems. EVD can potentially be fatal. Recovery depends on early diagnosis, good clinical care, and the patientís immune response. Evidence shows that people who recover from EVD infection develop antibodies that last for at least 10 years.

How can I prevent transmission?
Basic infection control procedures and good hygiene can prevent infection. Just like any other virus, EVD can be prevented by:

Avoiding contact with people who are sick or display signs and symptoms that indicate illness, including sharing food, cups or eating utensils;

Washing your hands frequently ñ or, if soap and water arenít available, using an alcohol-based hand sanitizer with at least 60% alcohol;

Avoiding touching your eyes, nose, and mouth with unwashed hands;

Disinfecting your home and belongings regularly; and

Covering your mouth and nose when coughing or sneezing, using a tissue or your sleeve or elbow (not your hands).

An annual flu vaccine can help prevent the flu, making diagnosis of Ebola easier. The flu vaccine is the number one way to prevent the flu.

What procedures is my hospital following to keep patients and the community safe?
Our hospital follows infection control procedures as recommended by the CDC and our state health department. Routine infection control procedures that are used to prevent the spread of any viral illness also can control and manage Ebola cases and ensure the safety of other patients in the hospital.

While we do not anticipate Ebola impacting our community, out of an abundance of caution, we have:

Implemented new screening processes to identify patients who have traveled to countries affected by Ebola, or who have had contact with someone who has traveled to those countries;

Practiced appropriate isolation procedures in the event a patient presents with symptoms;

Evaluated our supply of personal protective equipment (PPE); and

Distributed detailed guidance to all hospital staff regarding the appropriate steps to prevent the spread of infection and the proper procedures for handling a patient who has, or is suspected to have, an EVD infection.

Is EVD a threat to my community?
The threat of a widespread outbreak of Ebola in the United States is very low.

Hasn't EVD spread to the United States?
On September 30, 2014, the CDC confirmed the first case of Ebola to be diagnosed in the United States in a person who had traveled from Liberia to Dallas, Texas. The patient had no symptoms when leaving West Africa but developed symptoms approximately four days after arriving in the United States. The patient sought medical care at Texas Health Presbyterian Hospital of Dallas, was evaluated and discharged, and later readmitted and tested for Ebola infection. His diagnosis was confirmed and attempts to control his infection, which was quite progressed, began. He died on October 8.

Two additional secondary cases of EVD were identified when two nurses who cared for the patient at Texas Health Presbyterian Hospital of Dallas developed symptoms. Both nurses were quickly identified and isolated.

In addition, a medical aid worker who volunteered in Guinea, one of the three West African nations experiencing an Ebola epidemic, and since returned to the United States tested positive for Ebola on October 23, according to the New York City Health Department laboratory, which is part of the Laboratory Response Network overseen by the CDC.

The patient has been notified of the test results and remains in isolation at Bellevue Hospital in New York City, one of eight New York State hospitals that has been designated to treat Ebola patients. A specially trained CDC team determined earlier this week that the hospital has been trained in proper protocols and is well prepared to treat Ebola patients.

CDC and public health officials are taking precautions to identify people who had close personal contact with the infected persons.

How can I find out more information?
You may contact the hospital with questions, or talk to your doctor or primary healthcare provider. Our staff has received extensive training and guidance on identifying, managing and treating EVD. You also can visit the CDC Ebola site at www.cdc/gov/ebola, or the World Health Organization (WHO) Ebola virus disease (EVD) site at www.who.int/csr/disease/ebola/en.

]]>Protect Your Health with Preventative Screeningshttp://portagehealth.org/Protect-Your-Health-with-Preventative-Screenings/?blogid=2147483808
We’ve all heard the saying that an ounce of prevention is worth a pound of cure. While this idea is relevant to many parts of our lives, it is particularly meaningful to our health. There are many important ways we]]>2014-09-15T14:54:00ZWe’ve all heard the saying that an ounce of prevention is worth a pound of cure. While this idea is relevant to many parts of our lives, it is particularly meaningful to our health. There are many important ways we can prevent health-related problems, including eating right and exercising regularly. One of the most effective ways to protect our health is through regular health screenings.

Dr. Michelle Seguin is a family medicine provider at the Hancock Family Health Center.

“Regular health screenings and checkups are vital to a healthy lifestyle,” said Michelle Seguin, MD, family medicine physician at Upper Great Lakes Hancock Family Health Center and Portage Health. “By taking a proactive approach to your health that includes yearly screenings, you and your doctor can identify future health risks, such as cancer, heart disease and other underlying issues before they escalate. Screenings also can encourage those who are healthy to continue or improve their habits for better health.”

Today, all health insurance plans cover a range of important preventative health screenings, and covered individuals can receive many regular screenings at little or no cost.

Common recommended screenings for men and women that are covered by all health insurance plans include:

Annual Wellness Visit: It is important to see your physician once a year. This visit allows your doctor to check your vitals, such as temperature, blood pressure, and red and white blood cell counts, and monitor your overall health

Diabetes Screening Test: A diabetes screening test, or blood glucose test, is recommended for anyone over age 45 and should be completed every three years. Glucose levels can indicate if you’re at risk for diabetes.

Colorectal Cancer Screening: Beginning at age 50, or earlier if advocated by a physician, a yearly colorectal cancer screening is recommended. Screenings may consist of a colonoscopy, high-sensitivity fecal occult blood testing or a sigmoidoscopy. Each screening tests for precancerous polyps, so they can be removed before becoming cancerous.

Screening for Depression: Physicians often use a health questionnaire to help patients describe their emotional status, sleep patterns, appetite and concentration to identify depression. Depression screening is important because studies have shown that depression can negatively impact your overall health and is linked to a range of health concerns including chronic pain.

Additional screenings recommended for women include:

Pelvic Examination: Annual pelvic exams can identify a number of health problems in women, including ovarian cysts, sexually transmitted infections, uterine fibroids and early stages of cancer.

Pap Tests: Regular pap tests should be performed for women age 21-65. A pap test screens for cervical cancer. The frequency of pap tests should be discussed individually with your doctor.

Mammography Screening: Mammograms are x-ray screenings that will identify developing breast changes or cancer. It is recommended that women 40-74 should complete a screening every 1-2 years.

Bone Mass Measurements: Bone mass measurements can indicate your risk for osteoporosis by measuring your bone mineral density. It is recommended annually for all women over the age of 65.

An additional test recommended for men:

Prostate cancer screening. Prostate cancer screenings may consist of two tests: a digital rectum exam (DRE) and a prostate specific antigen (PSA) test. The DRE can indicate if the size of the prostate and abnormalities, and the PSA test will measure the amount of PSAs in the blood. Higher levels of PSA and large prostates can indicate prostate cancer. These options should be discussed on an individual basis with your doctor

For more information about these screenings and which of them are appropriate for you, please contact Dr. Michelle Seguin’s office at (906) 483-1060 or your primary care provider’s office. If you do not have a primary care provider, call one of the following clinics to make an appointment:

Hancock Family Health Center – (906) 483-1060

Hancock Family Health Center – Pediatrics – (906) 483-1700

Hancock Family Health Center – OB/GYN – (906) 483-1050

Houghton Family Health Center – (906) 483-1860

Lake Linden Family Health Center – (906) 483-1030

Calumet Family Health Center – (906) 483-1177

Ontonagon Community Health Center – (906) 884-4120

]]>Arm Yourself with Annual Immunizationshttp://portagehealth.org/Arm-Yourself-with-Annual-Immunizations/?blogid=2147483808
Back-to-school season is just around the corner, which means haircuts, textbooks, new shoes and clothing — and most importantly, a visit to the doctor for routine immunizations.

Immunizations, or vaccines, help protect your health by building immunity to disease. Some vaccines — such as those received in childhood — are needed only a few times for lifelong protection, and others must be repeated annually to protect against recurring illnesses, such as the flu.

August is National Immunization Awareness Month. Protect yourself and the ones you love by making sure you’re up to speed on the vaccines that you and your family need to stay healthy.

]]>2014-08-05T14:54:00Z

Back-to-school season is just around the corner, which means haircuts, textbooks, new shoes and clothing — and most importantly, a visit to the doctor for routine immunizations.

Immunizations, or vaccines, help protect your health by building immunity to disease. Some vaccines — such as those received in childhood — are needed only a few times for lifelong protection, and others must be repeated annually to protect against recurring illnesses, such as the flu.

August is National Immunization Awareness Month. Protect yourself and the ones you love by making sure you’re up to speed on the vaccines that you and your family need to stay healthy.

Routine vaccinations

Dr. Anas Jaber is a pediatrician at the Hancock Family Health Center - Pediatrics Clinic.

Parents of young children can ask your pediatrician for guidance on the immunizations your child needs from birth to age 18. Your provider will administer the appropriate vaccinations or boosters needed for school and to maintain good health during your child’s annual well-child visit. These vaccinations are based on the guidelines of the American Academy of Pediatrics (AAP) or the Centers for Disease Control & Prevention (CDC) and protect against diseases ranging from chickenpox to measles and mumps.

From birth to age 12, your child will receive one or more of the following vaccines:

Hepatitis A and B

Rotavirus

Diphtheria, tetanus, & pertussis (whooping cough) (DTaP)

Bacterial meningitis (Hib)

Pneumococcal vaccine

Polio

Flu

Measles, mumps, rubella (MMR)

Chickenpox (varicella)

Human papillomavirus (HPV)

Meningococcal vaccine (meningitis)

“Vaccines help to protect a child as they grow and develop by providing acquired immunity to diseases that could be quite serious and in some cases, deadly,” says Anas Jaber, MD, pediatrician at the Hancock Family Health Center – Pediatrics clinic at Portage Health. “Vaccines prevent a disease from occurring, rather than attempting to treat or cure it once the illness is contracted. I encourage parents to talk with your pediatrician about any questions or concerns and consult reliable resources, such as the AAP or CDC, for information to help make an informed decision.”

The importance of annual immunizations for adults

Dr. Tim LaBonte is a family medicine provider at the Lake Linden Family Health Center.

Just because you’re not a kid anymore doesn’t mean you don’t need immunizations each year. Vaccines for adults are recommended based on age, prior vaccination history, health, lifestyle, occupation and travel patterns (i.e., outside the United States).

The CDC recommends that all persons aged 6 months or older be vaccinated against the flu annually. It is important to get a flu vaccine every year. Each year the flu virus contains different strains, and each year’s flu vaccine is formulated to protect against the three or four different flu viruses that are expected to be the most common strains circulating during a particular season.

While everyone should receive a flu vaccine, certain individuals should be particularly vigilant, due to increased risk of severe flu complications. This includes young children; pregnant women; healthcare workers; people who suffer from chronic health conditions such as asthma, diabetes, or heart and lung disease; and adults age 65 and older.

The CDC also recommends that all adults over age 60 receive the shingles vaccine. Shingles — a burning, painful rash and fluid-filled blisters — happens when the chickenpox virus reactivaes, after lying dormant in the body for years after a person has had the chickenpox. The likelihood of developing shingles increases with age, and physical or emotional stress. If you have already had shingles, the vaccine can help prevent a recurrence.

The Pneumococcal vaccine helps prevent the most common cause of pneumonia. This vaccine is recommended every five years in patients under age 65 who are at high risk such those with lung disease (copd, asthma) and other chronic disease (heart disease, diabetes, etc.), and is recommended as a one-time immunization for everyone age 65 and older, regardless of prior vaccine.

“The Influenza and Pneumococcal vaccines are particularly important for older adults, especially those with chronic illness. The vaccines can help prevent potentially severe complications in this at-risk population,” says Tim LaBonte, MD, family medicine provider at the Lake Linden Family Health Center on Bootjack Road.

Should I Be Vaccinated?

Certain health conditions, lifestyle or risk factors can factor into the benefit and timing of vaccination. If you are pregnant, breastfeeding, moderately or severely ill, suffer from a chronic illness or immune system disorder, have severe allergies (including egg allergy), are undergoing cancer treatment, or have previously had a severe reaction to a vaccine, talk with your provider and follow his or her recommendation for immunizations.

For more information, visit www.cdc.gov/vaccines, or call your primary care provider. If you do not have a primary care provider, Portage Health and Upper Great Lakes Family Health Centers can help you identify one. Simply call (906) 483-1060.

]]>Beat the Heat - Preventing heat-related illnesseshttp://portagehealth.org/Beat-the-Heat/?blogid=2147483808
Summer is time for fun in the sun, but as the temperatures climb, don’t forget that the heat can be hazardous to your health if you don’t take the necessary precautions. Heat-related illnesses are common during the summer months – especially if you spend a significant amount of time outdoors – and, if not properly managed, can be fatal. ]]>2014-07-22T14:54:00Z

Summer is time for fun in the sun, but as the temperatures climb, don’t forget that the heat can be hazardous to your health if you don’t take the necessary precautions. Heat-related illnesses are common during the summer months – especially if you spend a significant amount of time outdoors – and, if not properly managed, can be fatal.

According to the Centers for Disease Control & Prevention, heat-related illnesses cause an average of nearly 620 deaths per year – more deaths annually than tornadoes, floods, earthquakes and hurricanes, combined.

What are Heat Illnesses?

Heat-related illnesses are caused by prolonged or excessive exposure to high temperatures and dehydration. Typically, when the body becomes overheated, it cools itself through sweating, but certain conditions can affect our bodies’ capabilities to regulate proper temperature. A few of these conditions include extreme temperatures, inadequate hydration, high humidity, high blood pressure, sunburn, prescription drug use and alcohol use.

When body fluids are lost through physical exertion and not replaced, it is difficult for the body to cool itself. Dehydration can affect circulation and brain function. Heat stroke, the most serious form of heat illness, happens after prolonged, intense exposure to extreme heat. The part of the brain that regulates body temperature malfunctions and the body temperature rises rapidly, sometimes as high as 106 degrees or higher. Without prompt treatment, heat stroke can cause death or permanent disability.

Heat exhaustion, a milder heat illness, can develop after several days of exposure to hot weather or inadequate hydration, i.e., working or exercising outside and not drinking sufficient liquids.

Who’s at Risk

People at greatest risk for heat-related illnesses include infants and children up to four years of age, adults age 65 and older, people who are overweight, ill, or on certain medications. Outdoor workers, as well as people on low-sodium diets or those suffering from chronic heart, lung or kidney conditions, are also at increased risk.

If you’re going to be outside, keep cool by drinking plenty of fluids, aiming for 16-32 ounces of liquid per hour. If you aren’t accustomed to being in a hot environment regularly, start slowly and pace yourself – and take regular breaks from the heat indoors or in the shade. Try to avoid being outdoors during the peak hours of heat and sun exposure.

Wearing lightweight, light-colored, loose-fitting clothing that breathes, and plenty of sunscreen, also are good preventative measures to avoid heat-related illnesses.

Signs and symptoms:

Elevated body temperature

Red, hot, dry skin or profuse sweating

Headache

Nausea

Weakness

Confusion, lack of coordination

Dizziness

Fainting

Muscle cramps

Rapid pulse or heartbeat

Seizures

Treatment

If you notice someone exhibiting signs and symptoms of possible heat stroke, call for medical assistance immediately, and take steps to cool the person experiencing the heat emergency by moving them to a cool, shaded area, and applying cool water to the body by immersing the victim in water, spraying or sponging the skin, or wrapping the person in a cool, wet sheet. If possible, monitor body temperature and continue cooling efforts until the victim’s temperature dips to 102 or below.

Less severe forms of heat illness, such as heat exhaustion, can be relieved by resting quietly in a cool, shady place, drinking clear juice or a sports beverage.

Hot Tips …on the Go

For more resources about heart-related illnesses, the Occupational Safety and Health Administration (OSHA) has released a free mobile app that displays heat index, risks, reminders and protective measures that should be taken at corresponding heat risk levels. The app can be downloaded in English and Spanish at http://www.osha.gov/SLTC/heatillness/heat_index/heat_app.html.

]]>Volunteers are at the heart of hospicehttp://portagehealth.org/Volunteers-are-at-the-heart-of-hospice/?blogid=2147483808
With today's busy lifestyle, time is one of the most precious resources in our lives and hospice volunteers give their time freely. They may never realize the profound difference they make in a person's life. A listening ear, a kind touch, a gentle presence can mean so much to a hospice patient and their family. Hospice volunteers generously give their gift of time to make these connections, to make a difference in the lives of their patients and families; and what they often discover is what their patients give back to them. Hospice volunteering becomes one of the most rewarding experiences of their lives. Hospice volunteers discover how volunteering challenges them to grow and to live — not merely exist. Hospice volunteers learn not to take life for granted, to live each day to the fullest.

]]>2014-05-20T14:54:00Z

With today's busy lifestyle, time is one of the most precious resources in our lives and hospice volunteers give their time freely. They may never realize the profound difference they make in a person's life. A listening ear, a kind touch, a gentle presence can mean so much to a hospice patient and their family. Hospice volunteers generously give their gift of time to make these connections, to make a difference in the lives of their patients and families; and what they often discover is what their patients give back to them. Hospice volunteering becomes one of the most rewarding experiences of their lives. Hospice volunteers discover how volunteering challenges them to grow and to live — not merely exist. Hospice volunteers learn not to take life for granted, to live each day to the fullest.

Senator Edward Kennedy said these words about hospice, "The hospice movement is a great movement, not because it was legislated by Congress, or mandated by the Federal Government, but because it evolved out of the hearts of people who care." Hospice care was started by volunteers. Hospice Volunteers are vital members of the hospice team. A fundamental goal of the hospice philosophy is to preserve the tie between the patient and community so that patient and family are not further isolated during the last phases of an illness. Thus, hospice volunteers are not merely a desirable addition to the professional hospice staff; they are a crucial part of the hospice concept. Through the volunteer's visits, the patient and family remain in contact with the world beyond their own home and beyond hospice. Life can become normal again for a short time. It is the hospice volunteer that helps to maintain or reestablish the patient's sense of self-worth and gives family members increased freedom to live a more normal daily existence.

On average, hospice patients have usually been in and out of hospitals for tests, scans, or possible surgeries for years prior to their hospice admission. Both the patient and their loved ones have been through moments of fear, anxiety, and despair amidst glimmers of hope. They are tired and need support: emotional, social, psychological and spiritual support. They need someone to hold their hand, to share their pain, to listen to them, someone who can be there and in a sense, meet them where they are in life's final journey. Hospice volunteers provide this and give the patient and family someone they can count on for those small but important daily needs. It is the hospice volunteer's caring that brings life and breath to hospice.

Pastor David Weber of St. Peter & Paul Lutheran Church in Houghton will receive Portage Health Hospice's Volunteer of the Year Award Tuesday at their annual dinner honoring and celebrating hospice volunteers for their commitment of time and most importantly, the difference they make in the lives of hospice patients.

To learn more about hospice or to become a volunteer, contact (906) 483-1160.

]]>Get your Plate in Shape during Nutrition Monthhttp://portagehealth.org/blogs.aspx?id=2147487399&blogid=2147483808
It’s time to get your Plate in Shape That’s the message from the Academy of Nutrition and Dietetics, which is celebrating National Nutrition Month this March.Here are six simple tips that everyone could learn from 1) Make half your plate fruits and vegetablesEat]]>2014-05-12T14:54:00ZIt’s time to get your Plate in Shape!That’s the message from the Academy of Nutrition and Dietetics, which is celebrating National Nutrition Month this March.

Here are six simple tips that everyone could learn from:1) Make half your plate fruits and vegetablesEat a variety of vegetables, especially those that are dark-green, red, and orange, plus beans and peas. Choose fresh, frozen, canned, or dried fruits and vegetables. For canned vegetables, look for those without added salt. For canned fruits, look for those in water or 100% juice.

3) Opt for fat-free or low-fat milkFat-free and low-fat milk have the same amount of calcium and other essential nutrients as whole milk, but less fat and calories.

4) Vary your protein choicesEat a variety of foods from the protein food group each week, such as seafood, nuts and beans, as well as lean meat, poultry and eggs. Twice per week, make seafood the protein on your plate.

5) Cut back on sodium and empty caloriesWatch for salt (sodium) in foods you buy. Compare sodium in foods and choose those with lower numbers. Add spices or herbs to season food without adding salt. Drink water instead of sugary drinks. Select fruit for dessert. Eat sugary desserts less often. Make major sources of saturated fats, such as desserts, pizza, cheese, sausages and hot dogs occasional choices, not everyday foods. Select lean cuts of meat and fat-free or low-fat dairy. Switch from solid fats to oils when preparing food.

6) Enjoy your food, but eat lessAvoid oversized portions. Use a smaller plate, bowl and glass. Cook more often at home, where you are in control of what’s in your food. When eating out, choose lower calorie menu options and opt for dishes that include vegetables, fruits and whole grains.

For more information on healthy eating visit eatright.org, kidseatright.org or choosemyplate.gov.]]>Spring is start of outdoor allergy seasonhttp://portagehealth.org/Spring-is-start-of-outdoor-allergy-season/?blogid=2147483808
It is spring, the time of year when April showers bring May flowers, and children hunt for Easter eggs on manicured green lawns; or at least I've read about these things in books. For those of us living above the 40th parallel, it is the season sump pumps become overwhelmed by run-off, gravely snow piles keep their strong hold on north facing slopes, and you look around your yard wondering how one dog made all that mess. ]]>2014-04-04T14:54:00Z

Sharon Stoll, MD is a family medicine practitioner providing a full spectrum of primary care to her friends and neighbors out of the new Calumet Family Health Center, which is located in the Mine Street Station in Calumet. Call 483-1777 to make an appointment.

It is spring, the time of year when April showers bring May flowers, and children hunt for Easter eggs on manicured green lawns; or at least I've read about these things in books. For those of us living above the 40th parallel, it is the season sump pumps become overwhelmed by run-off, gravely snow piles keep their strong hold on north facing slopes, and you look around your yard wondering how one dog made all that mess. I would like to add, to the list of springs' rites of passage — the start of the outdoor allergy season. It begins every year in late April. The add-on slots in clinic quickly fill with stuffed up patients exclaiming "Sinus infection!" Or worse, those with red, watery eyes who have been ostracized by coworkers for fear of the dreaded "pink eye," (though actual bacterial conjunctivitis is exceedingly rare). Often a quick review of these patients' charts show they have the same set of symptoms every April, helping to identify the real culprit: environmental allergies.

Environmental allergies occur at somewhat predictable times every year: molds in April and May, followed quickly by grass and then tree pollens. There's some brief reprieve in midsummer before ragweed appears around late August. The severity varies from year to year, depending on moisture, south winds and so forth, but the symptoms are predictable: itchy, red, watery eyes, stuffy or runny noses, and for some, a worsening of asthma and cough. If this sounds like you or a loved one, read on for some cost-saving solutions and advanced treatment options.

Log your allergy symptoms and seasons. This will help guide targeted therapy, and also help identify possible cross-reactive foods, which may cause oral allergy symptoms (think really itchy mouth). For example, ragweed peaks in August, so if you find yourself with gooey eyes every August, ragweed is the likely culprit. And ragweed can be cross-reactive with foods like parsley, beans, celery and several others.

Use single-ingredient over the counter remedies geared at allergies. For itchy red eyes, over the counter antihistamine drops like Zaditor, Alaway, Zyrtec Itchy Eye Drops, Claritin Eye or generic ketotifen work wonders, at a fraction of the cost of prescription antihistamine eye drops. For stuffy or runny noses and itchy mouths, consider a non-sedating oral antihistamine like generic fexofenadine or loratadine. For nasal or sinus congestion, consider a decongestant like generic pseudoephedrine. Avoid multi-ingredient cough and cold formulas, which may have ingredients you don't need.

Consider immunotherapy. Allergy shots are the best-known form of immunotherapy in this country, but for those not interested in the high costs, time commitment or needles involved with allergy shots, sublingual immunotherapy (SLIT) may be a better option. Instead of injecting allergens into the skin to promote tolerance, allergen drops or tablets are held under the tongue to reprogram the over reactive immune system. This method has been around since the early 1900s, and was recognized by the World Health Organization as a viable alternative to shots in 2006. It is a mainstay of treatment throughout the European Union, and available in Canada. In the US, it has been used as an off-label treatment with good success. The general idea is this: when you place antigens (protein particles that cause allergic reactions) under the tongue, immune cells take them up, and train the immune system to stop generating an allergic reaction when exposed. It makes good intellectual sense: holding something under the tongue for a minute is an intentional act, and the immune system wouldn't want to react to things your higher-ranking brain has chosen as acceptable for ingestion. This is probably how raw local honey also helps combat environmental allergies, as the unprocessed pollens in the honey serve as a sort of immunotherapy.

Not sure what to make of all this? Come see your friendly local doctor. We'll help you sort it out. And however you deal with spring allergies, just remember you were shoveling in minus 20° winds a few weeks ago, so maybe some red eyes and runny noses are a small price to pay for spring. Consider this your prescription to celebrate by manning the barbeque grill in shorts when it's nary 40 degrees out.

]]>Immunization Schedules from Birth to Adulthoodhttp://portagehealth.org/Immunizations/?blogid=2147483808
Knowing which vaccines to take when is a good step toward living a healthy life. Below are some schedules for childhood, adolescence, and adulthood. Immunization Schedule Ages 0 6 Years Immunization Schedule Ages 7 18 Years Immunization Schedule Adults Other]]>2014-04-02T14:54:00ZKnowing which vaccines to take when is a good step toward living a healthy life. Below are some schedules for childhood, adolescence, and adulthood.

Other resources

]]>Start your new year by making an appointment with your providerhttp://portagehealth.org/Start-your-new-year-by-making-an-appointment-with-your-provider/?blogid=2147483808
There’s nothing more important in a relationship than open and honest communication. While that’s a general truth for all relationships, it’s even more dynamic and significant when it comes to a patient-doctor relationship. That’s something I like to keep mind, and frequently remind my patients.Since arriving in the Copper Country in August, I’ve been hard at work building relationships with patients. The fresh start with some patients has been refreshing, as I’ve had many conversations with patients of all ages regarding health.]]>2014-01-01T14:54:00ZDr. Todd Anderson is a board certified family medicine provider at Portage Health. Learn more about Dr. Anderson at portagehealth.org/AndersonT.

There’s nothing more important in a relationship than open and honest communication. While that’s a general truth for all relationships, it’s even more dynamic and significant when it comes to a patient-doctor relationship. That’s something I like to keep mind, and frequently remind my patients.Since arriving in the Copper Country in August, I’ve been hard at work building relationships with patients. The fresh start with some patients has been refreshing, as I’ve had many conversations with patients of all ages regarding health.

These conversations are vital to establishing a good baseline for healthcare, and something everyone should do. For anyone who doesn’t have a primary care provider, I’d highly suggest that you spend time researching your options locally, and schedule an appointment sometime in early 2014.

Even if you’re healthy presently, it’s important to begin that relationship with your provider. Actually, it might be more important to start that relationship now. By doing that, you and your provider can begin a lifelong journey together that includes proactive steps to naturally lower your risks.

For those unsure what to look for in a doctor, some things I like to suggest:

Look for someone you would be comfortable talking to about issues very personal to you.

Look for someone you can trust with your information.

Look for someone with the training and expertise needed to appropriately understand and diagnose whatever health concerns you have.

Look for someone who will be a good listener. This is especially important early on in your patient-doctor relationship.

Look for someone that you could see yourself working with for a number of years moving forward.

Once you have found a provider that fits your needs, and you’ve made the appointment, the next step is the most important. Your first appointment is a great opportunity to establish a meaningful relationship. Right now, I’m working with a lot of patients who are just starting their patient-doctor relationship, and there’s a lot I’ve learned from this abundance of new patients.

Below are some of the most important things I’d suggest to anyone beginning a relationship with a new primary care provider.

Prepare for the first appointment. Write down your previous health issues/concerns so they can be discussed, prepare a list of medications you take and write down any current concerns you have so you don’t forget to discuss them at the first appointment.

Honesty is absolutely crucial to the entire patient-doctor relationship. It’s impossible for your provider to effectively treat you if you’re holding back information.

No question is too small. If something has been on your mind, don’t hesitate to bring it up. When it comes to your health, it’s always better to be safe than sorry.

The New Year has arrived. If you don’t have a primary care provider, or if you’re looking for a fresh start with someone new, I hope you take the calendar turning as a sign to take a proactive step forward with your healthcare. Start that relationship, and remember to make an appointment each year, even if you’re in great health.

]]>Healthy aging more important now than ever beforehttp://portagehealth.org/Healthy-aging-more-important-now-than-ever-before/?blogid=2147483808
Dr. Katriina Hopper is a board certified internal medicine and geriatric medicine provider at Portage Health. Learn more about Dr. Hopper at portagehealth.org hopper. Tips to live healthier, longer The growth of]]>2013-11-22T14:54:00Z
Dr. Katriina Hopper is a board certified internal medicine and geriatric medicine provider at Portage Health. Learn more about Dr. Hopper at portagehealth.org/hopper.

Tips to live healthier, longer

The growth of the number of adults over age 65 is unprecedented in the history of the United States. The National Institute of Aging reports that by 2030, almost one of every five Americans will be 65 years or older. In the next five years, 65+ year olds will outnumber children under 5. This population change is driven by the aging of the Baby Boomer generation, and an increase in life expectancy of older adults.

With this demographic shift, greater attention is being given to the healthy aging.

What is healthy aging?

Healthy aging is adapting to the physical, social and emotional changes that occur with age. It is preventing or managing chronic diseases that occur with age, like heart disease or dementia.

What do we know about healthy aging?

Exercise is the key to a healthy lifestyle at any age. Multiple studies have shown an association between exercise and disease prevention. It doesn’t have to be high impact running or mountain biking. Walking as little as 20-to-30 minutes a day for five days a week is beneficial. For those who cannot walk, resistance or “chair” exercises have proven beneficial.

Maintaining connection to friends, family and your community is an important part of healthy aging as well. Aging is often associated with losses of loved ones and of the ability to live independently. Friendships and other social connections can help buffer the losses that we face as we age. Some studies have linked social engagement with a lower risk of dementia. Social connection can be as simple as having coffee with a friend, performing volunteer work, belonging to a club or going to church.

Stimulating your brain with new experiences, or challenging puzzles and games may reduce the risk or slow progression of dementia. Taking a community education class or attending a lecture or musical performance keeps your mind engaged. For those who have hearing and/or vision impairments that limit the ability to participate in these activities, treatment of these conditions can improve quality of life, prevent falls and improve cognitive function.

Treatment of chronic conditions like diabetes and high blood pressure will decrease risk of end-stage kidney and heart disease, and may decrease risk of dementia. Many of the lifestyle changes needed to control these diseases (like a healthy diet and exercise) also promote healthy aging. Over time, control of chronic conditions with medication and life style changes will prevent disability and lengthen life.

There are no pills or herbal remedies to reverse the aging process, but we know more about factors that affect how people age. The good news is that older adults are now living with less disability and more independence. So, if you are able, take a walk outside and enjoy the summer weather, and bring a friend. It will benefit you now and later in life.

Dr. Katriina Hopper is a board certified internal medicine and geriatric medicine provider at Portage Health. Learn more about Dr. Hopper at portagehealth.org/hopper.

]]>Breastfeeding is the best way to feed newbornshttp://portagehealth.org/blogs.aspx?id=2147486863&blogid=2147483808
March is Parenting Awareness Month. The earliest choice parents can make to ensure their child gets the best right from birth is to breastfeed. It is the natural way, and as long as a mother and child are able to, it's the healthiest and most affordable choice for both mother and child.

]]>2013-07-30T14:54:00ZMarch is Parenting Awareness Month. The earliest choice parents can make to ensure their child gets the best right from birth is to breastfeed. It is the natural way, and as long as a mother and child are able to, it's the healthiest and most affordable choice for both mother and child.

At the Portage Health Family Birthing Center, we've been focusing on promoting breastfeeding a lot over the past year. Recently, I completed training to officially make me a certified lactation consultant, and our birthing center became a bag-free hospital, officially recognized by the good people at banthebags.org.

What that means is that Portage Health no longer gives our new parents free formula bags with formula samples. This is something we're proud of, and we hope other birthing centers will do the same. Studies prove that parents who were given these formula samples used formula much earlier in their infant's life.

At our birthing center we focus on helping mothers nurse as quickly as possible. In fact, the World Health Organization and United Nations Children's Fund Baby-Friendly Hospital Initiative suggest mothers initiate breastfeeding within one hour of birth. It might take longer to actually nurse, but we try to help mothers have that skin-to-skin contact with their children immediately.

They also suggest that artificial nipples or pacifiers should not be used until breastfeeding habits are firmly established. That's usually by three-to-four weeks of age.

Another thing we've found to be vital to a mother-child relationship while in the birthing center is keeping the baby in the room with the mother. We call this rooming-in. This encourages unrestricted breastfeeding whenever the child needs. It's important for mothers to see a baby's signs of feeding readiness.

Rooming-in allows mothers and infants to remain together 24 hours a day in the hospital. Moms can observe early feeding cues since newborns need a minimum of 10-to-12 feedings in a 24-hour period of time, often with no particular pattern of frequency. If your baby is kept in the nursery, early feeding signs may be missed and moms may have more difficulty getting a crying baby to latch.

We also suggest giving newborn infants no food or drink other than breast milk, unless medically indicated. There are medical indications for supplementing with formula (dehydration, hypoglycemia and certain types of jaundice for example) and your pediatrician will advise you on the best decision for your baby. However, supplementing with formula when there is no medical need can reduce duration of breastfeeding, increase an infant's risk for reflux, colic (Cohen-Silver) and allergies, and reduce the protective benefits of exclusive breastfeeding mentioned above.

It's also important to realize the economic benefits of breastfeeding. Families can save more than $1,000 a year in formula alone. Employers and the community also benefit with fewer health insurance claims, less employee time off for sick children and higher employee productivity.

Breastfeeding is something we should all be proud of and work together to make it more of a norm. The government is helping, including the Workplace Breastfeeding Law, which was created in 2010. This law mandates employers with more than 50 employees to provide "reasonable break time for an employee to express breast milk for her nursing child for one year after the child's birth each time such employee has the need to express the milk." In addition, the employer must provide a private place other than a bathroom.

When an expectant mother talks about breastfeeding, listen to her, support her personal breastfeeding goals and praise her for her choice. It's better for the baby, her and the entire community. When you see a mother feeding her infant at the "breast-aurant," please do not be offended, glare disapprovingly or harass and humiliate her. Breasts are made for breastfeeding and breast milk is species-specific, designed for human babies. When a mom chooses to breastfeed her child, everyone benefits.

Editor's note: Joye Battisfore is a certified lactation consultant at the Portage Health Family Birthing Center.

]]>Be mindful of ticks ... and Lyme diseasehttp://portagehealth.org/blogs.aspx?id=2147486841&blogid=2147483808
Lyme disease is the most common tick borne disease in the United States. In Michigan, there is an incident rate of about 1 per 100,000 residents. The incidence of Lyme disease is 30 times higher in our closely neighboring]]>2013-07-17T14:54:00Z

Lyme disease is the most common tick-borne disease in the United States. In Michigan, there is an incident rate of about 1 per 100,000 residents. The incidence of Lyme disease is 30 times higher in our closely neighboring state, Wisconsin.

Lyme disease has been in the news more than usual this year, as the population of ticks is thought to be expanding in some areas of Michigan. I have recently been seeing an increase of patients with complaints of tick bites, and questions regarding Lyme disease.

The disease is spread only by blacklegged ticks, formerly known as deer ticks (Ixodes species), that are infected with the disease. These ticks are brown in color and the size of a poppy/sesame seed, or the tip of a pencil. Infected ticks have to be attached to their host (deer, human, etc.) and feed for the disease to be transmitted to the host. Typically the tick would have to be attached for 24 hours, and feed for an additional 36-to-48 hours before disease transmission occurs. Ticks will become engorged, or full of blood, after they have fed.

Initial symptoms of Lyme disease include rash and/or flu-like symptoms. The rash can occur several days after the tick bite, but can appear up to one month after. The rash is normally described as a “bull’s eye” rash, because it is often salmon/red in color with a central clearing. Flu-like symptoms consist of fever, chills, fatigue, weakness, headache, and muscle/joint pain. If the disease progresses without treatment there can be neurological, joint, heart or brain involvement.

The number one way to prevent Lyme disease is to prevent tick bites. I don’t expect residents of the Keweenaw to avoid our densely wooded areas where the ticks are found. Instead, take precaution. Try to stay in the middle of trails, dress accordingly, and do your due diligence after leaving the woods to check for ticks.

Dressing accordingly includes close-toed shoes or boots, a long-sleeved shirt tucked into your pants, and pants tucked into socks. Light-colored clothing will also make the ticks easier to spot. Insect repellant should be worn. While in the woods, check yourself frequently for ticks. Once out of the woods, examine yourself and your clothing closely. Ticks prefer warm moist areas such as armpit, groin and the back of knees, but often can be found on the scalp as well. It’s important to bathe as soon as you can after leaving the woods, hopefully ticks will be washed away before they have a chance to attach.

If a tick is attached, care should be taken to remove it. Do not try to burn, twist or smother the tick.

Use pointed tweezers (not your hands) to grasp the tick as close to the skin surface as possible. Do not crush the body of the tick.

Pull the tick straight out with slow, steady pressure.

Wash the area where the tick was, and your hands, with soap and water immediately after removal.

If part of the tick remains in the skin, medical attention is not required as the remaining parts are usually expelled on their own. Do not attempt to remove the remaining parts.

After removing the tick, pay attention to the skin where it attached. Also, remember only the smaller, blacklegged species of ticks can cause Lyme disease. Medical attention should be sought if a person experiences a rash or flu-like symptoms.

]]>Obesity a leading health concern in Michiganhttp://portagehealth.org/blogs.aspx?id=2147486767&blogid=2147483808
2013-06-18T14:54:00ZAngela Luskin is the Community Health Coordinator at Portage Health.

Obesity has become one of the leading health concerns in our country and Michigan's Keweenaw Peninsula is not immune. Obesity has become a major concern in our area, with more than 25 percent of our adult community obese. In addition, more than half are overweight.

The impact on our healthcare system is also considerable as the overweight population is statistically at higher risk for health problems. Average lifespan drops and incidences of diabetes, cancer, high blood pressure and other chronic illnesses are more common.

This is a problem right now, but what's scarier is that it is a problem that will likely get worse if we don't teach our children proper health and nutrition habits.

This is the final week of the 2012-13 school year, which means summer 2013 is finally here for our children. There couldn't be a better time to kick start a healthier future for you and your children. Below are several achievable steps that you and your family could focus on this summer.

Do something active every day. The National Football League has been promoting this idea with their Play 60 campaign. Kids need activity on a daily basis, and they need to learn that it can and should be fun. Help your kids be active this summer by making an active lifestyle fun.

Make good nutritional choices the natural option for kids. Rather than preaching about the importance of eating healthy foods, make fruits and vegetables easily attainable. Don't have pop, or other sugary beverages in your home. Do this and you'll have happier and healthier kids.

Limit screen time. Sometimes it's easy to just let the kids sit and watch television, tinker on the computer or play their video games, but too much isn't good. Try to focus on limiting the amount of time your kids spend doing this, especially in the summer when they're home for longer amounts of time.

Take advantage of our natural resources. We are blessed to live in an outdoor paradise. Use our natural recreational resources to your advantage. Encourage your family to spend time at the beach, enjoy the miles of hiking and bike trails, spend time with your children fishing and encourage their mental and physical development by utilizing all the natural resources that surround us.

Make sure your child meets with his or her doctor. Your pediatrician is a great resource for you and your family. They know your child's history and can be a key ally and resource in your quest to be a healthier family.

Be a good role model. You know your kids look up to you and will develop the same habits and share your values. If you spend time investing in your health and encourage them to do the same, you will realize a healthier family and contribute to making a healthier community.

At Portage Health we've continued to support as many active events as possible, from organized sports to silent sports to recreational areas. As part of our commitment to a healthier community, we are introducing a new program for kids this summer named Jump Start for Kids. It is a four-week camp focused on helping our area youth develop a solid base of nutrition, exercise and lifestyle habits. There will be three different sessions offered. The first begins next week, The second and third will take place in July and August. If you're interested in having your child participate, contact me at (906) 483-1153 or aluskin@portagehealth.org. The camp is designed for children ages 8 to 11, and is free for all participants, but space is limited.

]]>Physical therapy can help with pain managementhttp://portagehealth.org/blogs.aspx?id=2147486698&blogid=2147483808
2013-05-03T14:54:00Z

As life's events unfold, the inevitable aches and pains associated with injury, illness, and age eventually set in and affect our quality of life. Experiencing pain is expected, but living with pain is not necessary and in most cases physical therapy can significantly reduce or relieve pain.

One of the most common pain complaints we hear is related to low-back pain (LBP), which accounts for 2.5 to 3 percent of all physician visits in the United States. It is responsible for an estimated $85 billion in healthcare costs nationally.

Most patients with LBP are seen by their primary physician and often time will be referred to undergo diagnostic tests, such as x-rays and MRIs to help determine the root cause of the pain. These tests more often help identify pathology such as degenerative discs, bulging discs, herniated discs, spurs and arthritis.

Pain associated with such conditions is a more complex experience than what images and pictures of your body can portray. Referrals from your primary provider to physical therapists, who are specifically trained to treat low-back pain with interventions such as manipulation, exercise, and most importantly education about pain and a patient's unique pain experience, will help develop and execute a treatment plan that will address the cause of the pain.

At Portage Health, we develop an independent management program for our patients that are not solely dependent on medications. Although medications can help to control pain, the key objective is regaining pain-free movement as quickly as possible without dependence on medication. A physical therapist, working in concert with your primary physician, will work to find a long-term solution to your pain problems.

Another important component to therapy is timing and the introduction of physical therapy as an integral part of the treatment plan has been shown to be a crucial element in a patient's recovery from low-back pain. Delaying physical therapy goes against current research as several studies have shown reduced costs and improved outcomes with early physical therapy.

In people who receive physical therapy within 30 days after initial physician visit for acute low-back pain, there is decreased likelihood of injections or surgery compared to patients who waited longer to get physical therapy. Also, the use of frequent office visits regarding LBP is significantly lower among people who receive physical therapy within 30 days. That means less money out of your pocket to pay for co-pays.

No matter what influences you to seek physical therapy, early access to physical therapy referrals is the best and most direct way to achieve your goal. We take pride in knowing that our patients receive evidence-based, quality care focused on patient values. We strive for the best clinical outcomes, and we empower patients to have active, pain-free lifestyles. Our focus is to get you back to doing the things that are most important to you, and we can get you there faster.

Mallory Rojewski has her doctoral degree in physical therapy from Grand Valley State University, and serves Copper Country residents out of the Portage Health Rehab office in Calumet.

]]>Sleep plays vital role in daily performancehttp://portagehealth.org/Sleep-plays-vital-role-in-daily-performance/?blogid=2147483808
An average person sleeps about a third of the day, roughly six to 10 hours. That time is actually the most important part of the day, as it determines mental and physical health for the remainder of the day. ]]>2013-02-01T14:54:00Z

Dr. Carl Smoot is board certified in internal medicine, pulmonary disease and sleep medicine. He sees patients at the Portage Health Sleep Disorders Center in Hancock. Learn more about him at portagehealth.org/smoot, or about the Sleep Disorders Center at portagehealth.org/sleep.

An average person sleeps about a third of the day, roughly six to 10 hours. That time is actually the most important part of the day, as it determines mental and physical health for the remainder of the day.

Sleep determines your alertness, school or work performance, growth, muscle strength and repair, personality, ability to interact with others, control of diabetes and cholesterol, and the development of vascular disease. That list, while lengthy, is only a glimpse into the effect sleep has on your life.

The control of sleep has been determined by changes in our brain’s development over millions of years. Basically, humans are programed to wake with bright light (sunlight in the morning), and begin to get sleepier as the light fades in the evening. Any change from this can cause sleep disturbance. Shift workers prove that. Especially something like the “Southern Swing Shift,” which includes rotating between days, nights and afternoons. Studies have shown that shift workers like that live much shorter lives than those who do not work rotating shifts.

Sleep over a range from teenage to old age is 7.5 to 9.5 hours per night. There are people that sleep less, and others who need more sleep to feel rested. Being rested means a person is continuing to be alert in the most boring of situations.

The best way to take control of your sleep is to set the wake time in the morning the same every day. Waking up within a half hour of the same time every day will help you feel more rested than ever. That includes weekends, and even nights when you went to bed later than usual. This applies to adults, teens and children. Many parents feel that they are doing their children and teens a favor by allowing them to sleep in during the summer and on weekends, but that is definitely a mistake. This allows sleep to lose cycling control. This can have a profound effect on school performance.

One of the reasons for this is because the lowest point in a person’s body temperature during a 24-hour day cycle is about an hour prior to wake. This point sets the timing of all hormone secretion except that of the thyroid. Disturbances of sleep cycling can cause short stature, lack of energy, poor healing of connective tissue (muscle, ligaments, tendons, etc.), mental illness, poor job or school performance, etc.

Many sleep specialists think that most, if not all, problems associated with fibromyalgia can be due to abnormal sleep cycling. Mainly from a lack of deep sleep, which is when our bodies secrete growth hormones. Lack of adequate sleep can make weight control and blood sugar control much more difficult as well.

Total sleep and control of sleep cycling and timing are important aspects of your health. This should be discussed with your primary care provider at every visit. If there is a significant problem, then a consultation with a sleep specialist should be considered. The difference sleep can have in your life is profound, and could be just the thing you need to help turn your mental or physical health around.

]]>Make your health a priority this new yearhttp://portagehealth.org/blogs.aspx?id=2147486447&blogid=2147483808
This is a wellness colum that appeared in the Sep. 20, 2012 Daily Mining Gazette. As January approaches, most people intend to begin the New Year with many well intended resolutions. This year, we ask you to commit to]]>2012-12-20T14:54:00ZAngela Luskin, Portage Health Community Health Coordinator

As January approaches, most people intend to begin the New Year with many well-intended resolutions. This year, we ask you to commit to making your health a priority and focus on just one or two lifestyle changes that will truly influence the quality of life experienced by you and your family.

At Portage Health, we've made our resolution to be focused on combating obesity. Studies have shown that nearly 35 percent of our population is obese. This is the result of inactivity, poor diet, other chronic health concerns and an overall lack of awareness of how to eat properly, get adequate exercise and rest and prepare healthy and delicious foods while still maintaining your budget.

We recognize that lifestyle change takes commitment and hard work. We also know that unless we all work to make this necessary lifestyle choice - for ourselves and our loved ones - the alternative and consequences of such choices simply aren't good.

Portage Health is here for you with many resources to help evaluate your current health status, develop a plan of action that will empower you to reach your goals and to support you as you make changes in how you choose to live your life. The reality is this is not about exercise. It is about living a healthier and more fulfilling life. For some, that means simply toning muscle and better developing core strength in order to perform everyday activities easier, and with less pain. Others may have significant weight loss goals. No matter what you want to achieve, we are here to help you reach your goals.

A new program, Exercise Made Simple, has been recently been introduced at the Fitness Center. The program is designed to help people who may not feel comfortable taking the first step towards a healthier lifestyle. This class is specifically designed for those interested in starting an exercise program, expanding into newer areas or those unsure of how to get started. Each month the class will dive into a different topic -Gentle Yoga begins January 6, followed by Indoor Cycling February 3. Classes are held Monday and Wednesday from 12-12:45 p.m.

The Fitness Center also has two full-time certified personal trainers: Emily Kunnen and Susan Rosemurgy. Each trainer is dedicated to helping you achieve your fitness goals, whatever they may be. One-on-one packages along with buddy training are available at affordable prices.

The only question that you need to answer is, if not now, when!?

For a detailed list of classes or to schedule a time to discuss your health goals with one of our trainers, visit portagehealth.org/FitnessClasses or call 483-1149.

]]>In National News: Meningitis found in steriodshttp://portagehealth.org/blogs.aspx?id=2147486320&blogid=2147483808
The Western Upper Peninsula Health Department has reported that there have not been any meningitis cases due to infected epidural steroid injections in our region. The outbreak is due to a product that has not been used in the Upper]]>2012-10-09T14:54:00ZThe Western Upper Peninsula Health Department has reported that there have not been any meningitis cases due to infected epidural steroid injections in our region.

The outbreak is due to a product that has not been used in the Upper Peninsula of Michigan, according to the WUPHD.

TV6 coverage of the issue in relation to the Upper Peninsula

A press release from the Western Upper Peninsula Health Department

HANCOCK – The Centers for Disease Control and Prevention (CDC) has announced that there are now 105 cases of fungal meningitis and eight deaths associated with the medical use of an injectable steroid produced by the New England Compounding Center (NECC) in Framingham, Massachusetts. Investigation is ongoing and case numbers are changing daily.

None of the medication in question was distributed in the Upper Peninsula.

Meningitis is an inflammation of the membrane covering the brain and spinal cord. It can be caused by infection with many different organisms. In this case, the infections are being caused by fungus, which is an unusual cause of meningitis. Because these infections are unusual, they were reported by healthcare providers to the CDC, which began an investigation in conjunction with state and local public health.

Steroid medications are used to treat a variety of medical problems. In this case, all patients received the medication as an epidural injection, meaning it was injected into a fluid space that surrounds the spinal cord. Epidural steroids are used to treat issues such as lower-back pain and are a typically very safe.

Unfortunately, it appears that certain lots of a steroid medication produced by NECC used for epidural injections, may have been contaminated with fungus during the production process, leading to infection in some patients. The problem isn’t something U.P. residents need to worry about though, according to Dr. Terry Frankovich, medical director of the Western U.P. Health Department.

“Fortunately, with computerized systems, it is very easy to track medication from factory to medical facilities and then to patients,” Frankovich said. “Although this is a commonly used medication, it produced by more than one company and only three lots of the medication from one particular company are implicated. None of these doses were distributed in the Upper Peninsula.”

The company has recalled the medication so no additional patients should be exposed.

In cases identified to date, symptoms of meningitis have typically began 1-4 weeks after an epidural injection and may include fever, worsening headache, stiff neck, weakness or numbness. Unlike meningitis caused by many bacteria, this fungal meningitis tends to have a more gradual onset and symptoms may be mild, at least early on. These infections are not spread person to person, so only people who received these injections can become ill.

“This is a good example of the importance of the public health system in this country,” says Frankovich, “ it is only because these unusual cases are reported and investigated that patterns emerge and steps can be quickly taken to limit risk to the other patients.”

]]>Proper wound care overlookedhttp://portagehealth.org/Proper-wound-care-overlooked/?blogid=2147483808
Proper wound care is an important health concern, but often is overlooked or dismissed by patients. One rule to abide by is that by the 30-day mark of an open sore on your body, it should be visibly healing. If it's not, at this point, it's no longer an open sore. It has become a chronic wound.]]>2012-09-21T14:54:00ZThis is a wellness colum that appeared in the Sep. 20, 2012 Daily Mining Gazette.

Proper wound care is an important health concern, but often is overlooked or dismissed by patients.

One rule to abide by is that by the 30-day mark of an open sore on your body, it should be visibly healing. If it's not, at this point, it's no longer an open sore. It has become a chronic wound.

This is an upsettingly common problem, and is especially prevalent and dangerous among diabetics. In some situations, ulcers can become limb- or life-threatening.

At the Portage Health Advanced Wound Care Center we often see people who have been ignoring or dealing with such sores for months upon months without professional guidance.

They're toughing it out, hoping for the best.

As a professional in the field, I can tell you that is not a good idea.

In many situations, giving it more time will cause nothing but more problems. Some of these problems are serious.

If a wound worsens to extreme levels, a patient may develop an infection that leads to amputation. Three out of four lower-body extremity amputations to diabetic patients began as non-healing ulcers.

It can get worse. Some ulcers have five-year mortality rates as high as 55 percent.

That mortality rate is worse than colon cancer, which has a five-year rate just under 50 percent. Colon cancer is considered one of the more dangerous forms of cancer.

Health care is often about being proactive, and an open sore that isn't healing is no different. Getting treatment early on can make all the difference.

Our team will provide a comprehensive assessment of the problem. We have physical therapists and physical therapist assistants who have extensive wound care-specific certification, training and experience, diabetes and lymphedema experts and access to Dr. Jonathon Brueggeman, a podiatrist with specific interest, education and experience in wound care.

After assessing the issue, our staff provides specialized tests, treatments and dressings that will promote healing, and see patients through the entire healing process.

Much of what we do with patients is educate them on the situation they're in. After an initial meeting, our team will continue to work with a patient until they've improved. If needed, we can provide surgical options.

At the advanced wound care center, our goal is to help patients get back to the life they were living before the open sore became a chronic wound. The best way for a patient to fully heal is to be proactive. At 30 days, call your family doctor. Talk to them openly about the symptoms you're dealing with and work toward moving on with your life.

Editor's note: Dr. Wade Liston, DO, is the medical director of the Portage Health Advance Wound Care Center in Portage Health's main location in Hancock. On Sept. 13, Liston was the expert presenter at the "Wild on Wounds" annual educational conference in Las Vegas. Learn more at portagehealth.org/liston.

Joni Erkkila is the wellness coordinator at Portage Health, the only “Platinum Level” Fit Friendly company in the Upper Peninsula.

What choices have you made today that will contribute positively to your health? Were you physically active today? Did you fuel your body wisely? Did you get ample sleep last night? Did you avoid harmful substances, wear your seatbelt or helmet, and wash your hands regularly? Although we don’t often realize it, many minor decisions that we make throughout each day produce our personal lifestyle. Personal lifestyle, research shows, has a significant impact on our health and quality of life.

Of course, no one expects that you pick the healthy choice every time, but if you are truly committed to living a healthier lifestyle, you must create a plan of attack to make the healthier choice more often. This might not always be easy – change is often difficult. If you aren’t currently living a balanced and healthy lifestyle, this isn’t going to just come naturally starting tomorrow. It’s going to take some serious willpower to make those healthier decisions.

Traditionally health care organizations have focused on a reactive approach. Hospitals have been a beacon of trust and hope in an emergency; health care professionals save lives and help manage chronic conditions. In this capacity, these care providers will be here for years to come. But now, Portage Health and many forward-thinking providers across the world are focusing on a more proactive approach. If we each take the steps to take care of ourselves now, we may not be limited by the chronic disease or have to take the chance of surviving an emergency in the future.

Portage Health is working hard to make sure we are supporting this proactive approach in both community members and staff members. Our employee wellness program, which was created in 2009, provides tools and encouragement to assist staff members in making more of the healthy choices and less of the not-so-healthy choices. We’ve taken several steps to ensure our work environment is conducive to better decision making. Staff members support each other and challenge each other to reach health goals.

Of those staff members who had goals to make improvements, more than 40 percent of them improved blood pressure, more than 30 percent improved blood glucose and more than 20 percent lowered body mass index. That was just last year. More importantly, many participants report that they are feeling better and more confident, while having the ability to do things they couldn’t do before. These improvements are made possible by individuals making lifestyle changes and addressing issues with a primary care provider when necessary.

The American Heart Association has deemed us a Fit Friendly Company at the platinum level. In 2011, less than 350 companies nationwide were awarded this prestigious, most distinctive achievement. This is an affirmation that we’re doing something right as we work right here under our own roof to improve the health of our community.

Employee wellness has been gaining attention throughout the years, but more so in recent times as healthcare costs continue to escalate, as well as national rates of obesity and chronic disease. It’s clear that we need to take action to make those day-to-day healthier decisions. We need to choose to live healthier lifestyles. Start making your plan for a healthier life today, and avoid more serious problems tomorrow.

While spring seems synonymous with allergies, several irritants arrive in the fall and take their toll on allergy sufferers. But several steps can help curb symptoms.

Ragweed, pigweed, plantain, sheep sorrel, sagebrush, and other weeds produce enormous amounts of the pollen that plagues allergy sufferers. Molds and late-blooming trees can also cause allergies in the fall.

Parts of the country with a wet summer season can experience more weed pollen and mold growth fueled by the moisture.

Allergy symptoms typically begin in early childhood, and often peak between the ages of 20 to 40.

The likelihood that a person will have an allergic reaction depends on a variety of factors, including family history. Many sufferers don't consult with a doctor about managing their allergies, and allergy symptoms are often confused with colds. A sore throat or runny nose without fever is most likely allergies.

Allergic reactions are often mild but some, such as asthma, could be life threatening.

The more common milder symptoms include a runny nose, itchy eyes, sneezing, wheezing, a sore throat, nasal congestion, and coughing.

Skin irritations and breathing problems can also develop. Over time, even mild symptoms can cause sinus headaches, fatigue, insomnia and problems with concentration and work performance. They can also increase the risk of ear infections and sinusitis.

Steps to curb allergies in the fall:

To help prevent allergies or make them less severe, it's useful to get a test to determine exactly what you're allergic to and take steps to avoid contact with it as much as possible.

If you have asthma, taking your daily controller medicine is especially important during allergy season.

Staying indoors helps. Keep your windows closed, wash your bedding regularly, and wash your hair and shower before going to bed. It's also a good idea generally to keep your house as clean as possible.

Talk to your provider about the options for treatment. There are a number of drug treatments available both over-the-counter and by prescription, including nasal steroids, antihistamines and decongestants. It's important to start taking the medications before you develop symptoms. If you still don't get relief, ask whether allergy shots might be another approach.

If you suffer from allergies and your cough worsens or secretions from the nose turn colored, call your provider.

]]>Watching for signs of heatstrokehttp://portagehealth.org/blogs.aspx?id=2147485168&blogid=2147483808
2011-07-18T14:54:00ZOur rising temperatures are a welcome reprieve from the bitter cold of winter, but extremely high temperatures can be dangerous to our health and even our lives. Dehydration and heat stroke are two common ailments caused by high heat. Heatstroke is similar to heat cramps and heat exhaustion. It's one of the heat-related problems that is often the result of heavy work in hot environments, usually accompanied by inadequate fluid intake. Older adults, small children, people who are obese and people born with an impaired ability to sweat are at a higher risk of heatstroke. Other risk factors include dehydration, alcohol use, cardiovascular disease and certain medications.

What makes heatstroke more severe and potentially life threatening is that the body's normal mechanisms for dealing with heat stress, such as sweating and temperature control, are lost. The main sign of heatstroke is a markedly elevated body temperature — generally greater than 104 F — with changes in mental status ranging from personality changes to confusion and coma. Skin may be hot and dry, although in heatstroke caused by exertion, the skin is usually moist.

Other signs and symptoms may include:

Rapid heartbeat

Rapid and shallow breathing

Elevated or lowered blood pressure

Cessation of sweating

Irritability, confusion or unconsciousness

Fainting, which may be the first sign in older adults

If you suspect heatstroke:

Move the person out of the sun and into a shady or air-conditioned space.

Dial 911 or call for emergency medical assistance.

Cool the person by covering him or her with damp sheets or by spraying with cool water. Direct air onto the person with a fan or newspaper.

]]>Fight back against breast cancerhttp://portagehealth.org/blogs.aspx?id=2147484963&blogid=2147483808
Breast cancer. Two of the most frightening words to women, and rightly so. Breast cancer is the second most common cancer among women, and breast cancer recurrence is possible even in women who have had a breast removed. With such]]>2011-05-17T14:54:00ZBreast cancer. Two of the most frightening words to women, and rightly so. Breast cancer is the second most common cancer among women, and breast cancer recurrence is possible even in women who have had a breast removed. With such grim statistics, what can we do to fight back?

October has been designated National Breast Cancer Awareness Month, and healthcare providers across the country are promoting early detection as the single most important factor in fighting and surviving the disease. The American Cancer Society recommends that women begin to conduct monthly self-breast examinations at age 20, and have a clinical breast exam by their healthcare provider each year. In addition, women should begin annual mammograms at age 40.

If you are still menstruating, you should schedule your mammograms for the week after your menstrual cycle begins, when the breasts are generally less tender. On the day of the mammogram, don’t use any deodorant, lotions or powders.

During the mammogram, two flat surfaces will compress each of your breasts, one at a time, for a few seconds. Compression is necessary to get the best pictures.

Sometimes, forgetting to do your self-exam and schedule your mammogram can be a barrier to good prevention. Some women find that scheduling a mammogram around their birthday or anniversary is helpful, and perform their monthly exam on the last day of their period.

Try checking your breasts for changes in the shower. After toweling off, look for common signs of breast cancer in the mirror. Look for a change in breast size or shape. Check for changes in the color of your breast as well as skin changes like scaly, itchy areas, dimpling and puckering. Report any change from normal to your healthcare provider right away.

While some people experience clear physical changes and warning signs of breast cancer, most women do not. That is why screening is so important, as mammography has been shown to detect cancers too small to be detected by feel.

Breast cancer. Don’t let fear from those two little words scare you from protecting your breast health with monthly self-exams and yearly mammography for women older than 40.

]]>Stretchinghttp://portagehealth.org/blogs.aspx?id=2147484765&blogid=2147483808
2011-03-23T14:54:00ZWhether you are a seasoned athlete or a weekend workout warrior, it is important to stretch before and after a workout. The benefits of stretching go far beyond flexibility. When done properly, stretching can:

Enhance physical fitness

Enhance ability to learn and perform skilled movements

Increase mental and physical relaxation

Enhance development of body awareness

Reduce risk of injury to joints, muscles and tendons

Reduce muscular soreness

Increase suppleness due to stimulation of the production of chemicals which lubricate connective tissues

Reduce severity of painful menstruation in females.

Unfortunately, even those who stretch do not always stretch properly and hence do not reap some or all of these benefits. Some of the most common mistakes made while stretching are:

Improper warm-up

Inadequate rest between workouts

Overstretching

Performing the wrong exercises

Performing exercises in the wrong (or sub-optimal sequence)

There are several elements to a good stretch. Ideally, a particular stretch should work only the muscles you are trying to stretch. In general, the fewer muscles you try to stretch at once, the better. By isolating the muscle you are stretching, you experience resistance from fewer muscle groups, which gives you greater control over the stretch and allows you to more easily change its intensity.

Another important aspect of stretching is leverage. Having leverage during a stretch means having sufficient control over how intense the stretch becomes, and how fast. If you have good leverage, you have greater control.

Remember not to stretch too far beyond the point of comfort. If you begin to feel pain during a stretch, chances are you are overdoing it.

Stretch often. Stay flexible.

]]>A Better Night's Sleephttp://portagehealth.org/blogs.aspx?id=2147484535&blogid=2147483808
For Greg Budweg, the quest for great sleep began with a picture in a magazine. While waiting to see his doctor a few years ago, the Hubbell man flipped to a photo of a woman sleeping soundly.

]]>2011-03-16T14:54:00Z

“I’ve got a lot more zip now,” says restaurant owner Greg Budweg.

For Greg Budweg, the quest for great sleep began with a picture in a magazine. While waiting to see his doctor a few years ago, the Hubbell man flipped to a photo of a woman sleeping soundly.

Greg ripped out the picture and showed it to Dr. Joseph DellaValla.

“I want to sleep like this, doc,” he said. Greg spent his nights tossing and turning. “I’d wake up more tired than I was when I went to bed,” he said.

Greg worked with Dr. DellaValla and the team at the Portage Health Sleep Disorders Center to achieve his goal of healthy sleep.

An overnight sleep study confirmed that Greg was one of the 40 million Americans who have a sleep disorder. Obstructive sleep apnea (OSA), which causes temporary stoppages in breathing, was robbing Greg of the rest he needed, sapping his energy and jeopardizing his health.

OSA and other sleep disorders, including snoring and insomnia, can contribute not only to sleepless nights, but also pose serious risks to physical and mental health, said Dr. DellaValla. He is one of just three physicians in the Upper Peninsula who has earned board certification in Sleep Medicine.

In the short term, people with OSA frequently are sleepy during the day, Dr. DellaValla said. This makes for poor quality of life, and has been shown to dramatically increase the risk for car crashes. In the long term, OSA has been associated with an increase in high blood pressure, diabetes, depression, stroke, heart attack and sudden death.

Greg began using a CPAP machine, a device that regulates his breathing while he sleeps. The change in the quality of his sleep – and in his life -- has been gradual, but profound. Sleeping well has boosted Greg’s energy level at home and at work at Jim’s Pizza, the restaurant he owns in Hancock.

“Getting enough sleep makes a big difference,” he said.

In 2006, Greg was one of the Sleep Disorders Center’s first patients. In 2008, the growing center moved into a brand-new location in Hancock. The state-of-the-art facility offers amenities that you won’t find at any other sleep lab in the western Upper Peninsula, including private rooms furnished with Sleep Number adjustable beds and plasma televisions.

Greg said that he would encourage anyone who has trouble sleeping to get checked out at the Sleep Disorders Center.

“Slowly but surely,” he said, “you’re going to feel a lot better.”

]]>Sleep: Small changes can have big benefitshttp://portagehealth.org/blogs.aspx?id=2147484534&blogid=2147483808
We all know that getting enough sleep improves our overall health. More specifically, research has shown that healthy sleep staves off serious health problems like obesity, diabetes, heart disease and ]]>2011-03-16T14:54:00ZWe all know that getting enough sleep improves our overall health. More specifically, research has shown that healthy sleep staves off serious health problems like obesity, diabetes, heart disease and stroke. Getting the right amount of good quality sleep also improves our quality of life, resulting in improved mood, energy level and alertness.

In the last year or so, new research has reinforced the relationship between sleep and good health. Several groups have recently published their results regarding how obstructive sleep apnea (OSA), a common disorder where recurrent pauses in breathing interrupt our sleep, impacts our long-term health prospects. One group analyzed all available data on the proposed connection between OSA and automobile accidents. They confirmed that drivers with untreated OSA are roughly three times more likely to cause an accident compared with drivers without the disorder.

Keeping their eyes on the big picture, three independent groups published data on OSA and risk of death from any cause. Taken together, the three groups followed more than 8,000 patients. Severe obstructive sleep apnea was found to be an independent risk factor for death in all three studies.

Insomnia also gets a lot of attention from medical researchers. Over the past several years, research has connected inadequate sleep to both weight gain and the development of diabetes. New research now suggests that insomniacs who get too few hours of sleep each night have an increased risk of developing high blood pressure, a major cause of heart disease and stroke.

Car crashes, high blood pressure, death? Scary stuff! The good news is getting a good night's sleep doesn't have to be impossible. We can make some important changes on our own. One less cup of coffee or one less television program can make a big difference. Keeping a regular sleep schedule, even on weekends and holidays, can also help. Tobacco, whether smoked or chewed, can keep us awake and should be avoided before bed. If you can't fix things on your own, your doctor can help. Your doctor might tweak your sleep habits, recommend a medication or ask you to see a sleep doctor.

When it comes to obstructive sleep apnea, patients usually need an overnight sleep test (called a polysomnograph) to figure out if they have it. Signs you're at risk include loud snoring, feeling tired or sleepy despite a normal night's sleep and being told you stop breathing while you sleep.

Recent research has only reinforced the relationship between sleep and wellness. Sleep well and stay healthy!

]]>Men's health: keeping that motor runninghttp://portagehealth.org/blogs.aspx?id=2147484514&blogid=2147483808
2011-03-15T14:54:00ZMost men realize the importance of proper maintenance to keep their homes and automobiles running smoothly. Unfortunately, when it comes to their health, men often overlook simple and effective strategies that could potentially save their lives.

Heart disease, cancer and stroke have become the leading causes ofillness and death in adults of both genders, but heart disease and stroke affect men at an earlier age than women. Health maintenance strategies for men also focus on prevention and screening for prostate and testicular cancer.

Many health problems men experience can be prevented by developing healthier lifestyles. A good diet and regular physical activity have been proven to reduce the risk of high blood pressure, diabetes, heart attack, stroke, colon cancer, depression and memory loss. Walking 30 minutes daily five times a week is a simple and effective start to living longer and healthier.

Use of tobacco products greatly increases the risk of stroke, heart attack, and emphysema. Men who use tobacco have much higher rates of various cancers including lung, mouth, throat, stomach, and bladder. Prostate cancer rates may be higher in smokers, also.

Alcohol abuse increases the risk of accidental trauma and contributes to health problems includingliver disease, cancer of the esophagus and stomach, and damage to the nervous system. Regular consumption of more than two alcoholic drinks daily may indicate problem drinking.

Unfortunately, some medical problems are unpreventable, so screenings are an important part of health maintenance. Just as women perform regular monthly breast self-exams, men should examine their testicles monthly between age 15 and 35 and advise their physician if they notice anything out of the ordinary or causes them concern. Men who have a father or brother with prostate cancer are at increased risk and should consider having their prostate examined by a doctor and having blood drawn for a PSA (prostate specific antigen) test beginning around age 45 to 50. Colon cancer screening should begin at age 50 and include a rectal examination and colonoscopy every ten years until age 75 for most men.

Screening for high blood pressure, diabetes, and high cholesterol should begin in middle age. Earlier screening for diabetes and hypertension is recommended for men in their thirties if they have risk factors of obesity or a family history.

]]>Helping your kidneys do their jobhttp://portagehealth.org/blogs.aspx?id=2147484513&blogid=2147483808
2011-03-15T14:54:00ZEveryone knows that kidneys are important organs we can’t live without, but most of us don’t know everything our kidneys do for us. Besides making urine, kidneys play a vital role in fighting anemia, maintaining blood pressure, and healthy bone maintenance.

Those bean-shaped, fist-sized organs are located near the middle of the back, just below the rib cage, on both sides of the spine. They are made up of millions of nephrons; tiny filtering units that can clean 200 quarts of blood and produce about two quarts of urine per day.

Within the nephrons are the glomeruli (tiny blood vessels) that are intertwined with tubules (tiny urine-collecting tubes). These very tiny structures are where the complicated filtering actually takes place. The glomeruli must keep normal proteins and cells in the blood, but allow the wastes and extra fluids to pass into the tubules and enter the urinary system.

The wastes are the results of normal cell function and the food and medications we consume. If the glomeruli are unable to remove all of the wastes, they build up in our blood and damage our bodies.

Do you know how well your kidneys are functioning? Most people do not. Kidney disease is a silent disease, causing no noticeable symptoms until it is quite advanced. Fortunately, there are ways of detecting kidney disease that should be performed routinely, especially for people with conditions such as diabetes, that put them at higher risk for its development.

Kidney Function Tests

eGFR is the acronym for estimated glomerular filtration rate. It is a calculation of how well those little glomeruli are able to filter the blood. In the laboratory, a person's blood is tested for creatinine levels. Creatinine is a waste product created by normal breakdown of muscle cells. A patient’s age, sex and race are taken into consideration when calculating the eGFR. This number estimates how well the glomeruli are clearing wastes from the body.

Chronic Kidney Disease

eGFR is our best indicator of how well the kidneys are working. An eGFR of 90 or higher is considered normal. If the eGFR stays below 60 for three months or longer, a person is considered to have chronic kidney disease (CKD).

eGFR 30-59: This stage of CKD is considered moderate. At this stage, hormones and minerals are thrown out of balance, causing anemia and weak bones.

eGFR 15-29: This is considered severe, and serious consideration must be given to treating the complications of CKD. A patient's doctor may refer a patient to a nephrologist (kidney specialist) who can discuss treatment options.

eGFR < 15: At this point, the kidneys can no longer filter well enough to maintain life. Dialysis or a kidney transplant must be done.

Dialysis consists of being hooked up to a machine that cleans the blood for about four hours a day, three days a week for the rest of a person's life. If a patient travels for work or pleasure, the schedule must be maintained. The patient must arrange ahead of time to travel somewhere where there is a dialysis center.

Prevention — Our Best Medicine

Hypertension: Hypertension (high blood pressure) damages the blood vessels in the kidneys. Keeping blood pressure under control helps to preserve kidney function. A patient with hypertension may be prescribed medication to lower the blood pressure and help protect the kidneys.

Keep blood glucose under tight control: Research has shown that keeping average glucose levels below 150mg/dL (A1C less than 7 percent) can result in a 50 percent decrease in the development and progression of CKD.

Points To Remember

Get regular screenings

Control blood pressure

Control blood glucose

Know your numbers

Chronic Kidney Disease (CKD) is stealthy. It provides us with no obvious warning signs. It takes us by surprise. Diabetes is the leading cause of CKD, accounting for about 44 percent of kidney failure in the United States.

]]>How to choose a home health agencyhttp://portagehealth.org/blogs.aspx?id=2147484490&blogid=2147483808
2011-03-15T14:54:00ZHome health care services range from high tech pharmacy services, skilled professional and paraprofessional services, and home services delivered to your home. Generally, home health care is ordered and initiated by a physician when a loved one is no longer able to care for themselves due to adverse changes in their health.

Services provided by home health agencies can be divided according to their specialty area:

High-tech pharmacy services include:

Infusion Therapy

Ventilator management

Diagnostic Services (lab/x-ray)

Skilled professional home health agency services include:

Nursing provided by a registered nurse (RN) or a nurse practitioner.

Licensed practical nurse (LPN)

Physical therapy

Occupational therapy

Speech therapy

Medical Social Work

Paraprofessional services include:

Home Health Aides

Personal Care Assistants

Physical Therapy Assistants

Certified Occupational Therapy Assistants (COTA)

Home services include:

Homemaker and housekeeping services

Live-in services

Hourly or shift coverage

Home companions

According to Tammy Carroll, director of Portage Health Home Care and Home Services, there are several things to consider when choosing a home health agency for you or your loved one.

Is the home health agency Medicare-certified?Medicare establishes minimum requirements for home health agencies to provide care to those withMedicare benefits. Many health insurers require Medicare certification for an agency to provide care to their members. Departments of public health review home health agencies regularly to insure adherence to these requirements.

Does the home health agency use its own employees or do they rely on contract staff? Home health agencies employ full-time and part-time professional staff. Home health agencies often cannot find adequate nursing, rehabilitation, or home health aide staff to meet all of their patients' needs. Many agencies contract with other providers or staffing agencies. You should choose a home health agency that can provide the majority of your care with its own staff. Inconsistent staffing can be disruptive for patients. If contract staff is used, ask what role the agency has in hiring and supervising contract employees.

What are the home health agency’s hiring standards for professional and paraprofessional staff? Each home health agency establishes hiring standards according to the type of services the employee provides. Some of these requirements include:

Verification of professional licensure for clinical staff, minimum educational requirements and prior home health experience

What is the home health agency’s process for scheduling visits? Home health agencies take into account overall agency needs as well as the needs of the individual patients when scheduling visits. Circumstances such as holidays, illnesses and weekends force agencies to prioritize staffing. Often, staff members arrange to visit at a certain time, but emergencies come up that delay or postpone a visit. It's important that patients and families remain open to the possibility of changes in visit schedules. It is equally important that patients notify the agency if they are not going to be home for a scheduled visit.

What payment sources do home health agencies accept? Home health agencies accept payment for services from a variety of sources. If the agency isMedicare-certified, skilled home health services will be covered according to Medicare rules. MostMedicare-certified home health agencies also accept payment from Medicaid or state-sponsored health insurance. Individual insurers and managed care plans contract with selected agencies that meet their requirements and cover home health services according to their benefits.

How does the home health agency coordinate care with my physicians and other health care providers?Communication is key to achieving your healthcare goals. Agency nurses and therapists should monitor your care and regularly report progress or changes to your physician. Agencies should immediately contact your physician if there is a sudden change in your health and if there is a need to change any treatments. At a minimum, the agency must verify the doctor's orders every 60 days.

Does the home health agency make nurses available for emergencies? During regular office hours, an agency may be able to provide an urgent home visit to assist with non-life threatening emergencies. When offices are closed, agencies still generally make a nurse available for urgent situations. The nurse may not be available to make a visit, but will answer calls and advise patients and families over the phone. Some agencies employ an answering service to inform the nurse on call.

How do I voice my concerns with the agency? Home health agencies strive to provide high-quality care. However, you may encounter problems during the course of your relationship with the agency. If a patient or family member feels that the care received was inadequate, they should inform the agency. Many agencies request that patients complete a satisfaction survey once services have ended. You should play an active role in selecting the agency that will be providing care to you or your loved one. Educating yourself about the requirements and services offered by agencies is the best way to make the most informed decisions. Knowing which agencies meet your individual needs enhances the likelihood of a successful recovery. Locally, Portage Health Home Care and Home Services provide expert home health care. When your family or loved one needs care at home, call (906) 483-1160 or (800) 573-5001 (toll free) for reliable, caring service.

]]>For the safest summer ride, strap on your helmethttp://portagehealth.org/blogs.aspx?id=2147484470&blogid=2147483808
2011-03-15T14:54:00ZSummer days in the Keweenaw are made for cruising on your bicycle. Some folks love to zip along on a sleek racer, while others prefer to pedal a sturdy mountain bike. Once in a while, you’ll even catch a pair of riders sharing an old-fashioned tandem bicycle built for two. No matter which type of bicycle you ride, there is one accessory that’s a must for every bicyclist: A helmet.

Wearing a helmet is the most important — and simplest — safety measure you can take to protect yourself against serious injury while riding your bicycle.

Here are some tips to make sure your helmet fits properly:

The helmet should be level on your head.

When you look up, the front rim of the helmet should be barely visible to your eye.

The Y of the side straps should meet just below your ear.

The chin straps should be snug against your chin, so that when you open your mouth very wide, the helmet pulls down a little bit.

Move the helmet from side to side and front to back. You should feel the skin around your eyebrows move slightly with the helmet. If it doesn’t, the fit pads are probably too thin in the front or the back, or the helmet may be too large.

If the helmet has a rear stabilizer, make it snug under the bulge on the rear of your head.

Put your palm on the front of the helmet and push up and back. If it moves more than an inch forward, more fitting is required.

Shake your head around. If the helmet dislodges, work on the strap adjustments.

Make sure your helmet is comfortable! Try on several different helmets so that you can choose the one that fits you best.

Once you’ve got your helmet strapped on, keep an eye out for the Portage Health Helmet Incentive Team. We’re cruising the Keweenaw this summer, keeping an eye out for kids who are wearing their helmets properly while biking, rollerblading and skateboarding.

Happy riding!

]]>Concussion: More than a bump on the headhttp://portagehealth.org/blogs.aspx?id=2147484469&blogid=2147483808
2011-03-15T14:54:00ZA concussion is an injury to the brain caused by a blow to the head. A concussion may cause you to become temporarily confused or disoriented, have memory loss (amnesia), or become unconscious. Concussions are the most common head injuries in sports.

Symptoms

If you have had a concussion, you may have any of the following symptoms:

Headache

Confusion

Memory loss (amnesia)

Loss of consciousness

Sleepiness

Nausea or vomiting

Trouble concentrating

Dizziness

Weakness

Seizures

Loss of balance

These symptoms, called post-concussive syndrome, can last for several days or weeks after the injury.

How is a concussion diagnosed?

Your healthcare provider will examine you and find out what happened. Your evaluation includes a neurologic examination, testing your strength, balance, reflexes, and memory. Additional tests may be ordered such as an X-ray called a computed tomography (CT) scan, a magnetic resource image (MRI) to make sure there is no damage to your brain, or specialized brain function tests and possibly spinal X-rays.

What treatments are available for concussions?

The treatment for a concussion is rest. Headache may be treated with a pain reliever. Nausea may be treated with a medication. If you have a concussion, you need to be watched by a friend of relative for 8 to 12 hours. Your provider may want you to be awakened and checked every 2 to 4 hours. If you experience any of the following, you should proceed to the emergency room.

Prevention

In collision and contact sports, it is important to wear appropriate headgear and mouth pieces that are fitted properly. In sports such as football, it is important to use proper blocking and tackling techniques and not to use your head for initial contact. In sports such as bicycling or rollerblading, it is important to wear a helmet.

Prior to returning to your activities, you should seek approval from your medical provider. Concussions can be severe. Receiving a second blow to the head before the first injury is fully healed can be fatal, even if the second injury seems minor.